| Dr Erson Paul Religioso Iii, DPT | |
|
6029 Pinehurst Ct, Lake View, NY 14085-9203 | |
| (716) 980-5686 | |
| Not Available |
| Full Name | Dr Erson Paul Religioso Iii |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 6029 Pinehurst Ct, Lake View, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881628709 | NPI | - | NPPES |
| 02071718 | Medicaid | NY | |
| 837712 | Other | NY | MANAGED PHYSICAL NETWORK |
| 9310992 | Other | NY | IHA |
| 00011174501 | Other | NY | UNIVERA |
| 000626077001 | Other | NY | BC/BS |
| 6699290 | Other | NY | GHI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 018386 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Erson Paul Religioso Iii, DPT 6029 Pinehurst Ct, Lake View, NY 14085-9203 Ph: (716) 980-5686 | Dr Erson Paul Religioso Iii, DPT 6029 Pinehurst Ct, Lake View, NY 14085-9203 Ph: (716) 980-5686 |
Vanessa Yates, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6530 Versailles Rd, Lake View, NY 14085 Phone: 716-523-2602 |